FORM 1023-EZ for DANCE AND MOVEMENT WORKSHOP

Field Data
EIN 47-5346239
Case Number EO-2015348-000300
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name DANCE AND MOVEMENT WORKSHOP
Organization’s Mailing Address 38 RENZ ROAD
City MILL VALLEY
State CA
ZIP 94941
Accounting period End 10
Primary contact name KATHILEEN GALLAGHER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KATHILEEN GALLAGHER
PRESIDENT
38 RENZ ROAD
MILL VALLEY CA 94941

Officer/Director/Trustee Two

LUCILLE ZABEL
SECRETARY AND TREASURER
2122 E CAMEO VISTA
WEST COVINA CA 91791

Officer/Director/Trustee Three

SARA DICKMAN
BOARD MEMBER
7262 BALLINGER AVENUE
SAN DIEGO CA 92119

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/15/2015
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B60 - Adult, Continuing Education
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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